Individual
QAIYIM DREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1723 SIMMS ST STE 202, AURORA, IL 60504-4703
(773) 732-2877
(708) 713-3020
Mailing address
1723 SIMMS ST STE 202, AURORA, IL 60504-4703
(773) 732-2877
(708) 713-3020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852846842
—
IL
Enumeration date
09/21/2021
Last updated
09/21/2021
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